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  1. TEE is a semi-invasive procedure in that the probe must enter the body but does not require surgical (i.e., invasive) cutting for this procedure. Before inserting the probe, mild to moderate sedation is induced in the patient to ease the discomfort and to decrease the gag reflex.

  2. Specific procedural indications include the guidance of transcath- eter procedures and assessments of cardiac structure and function that will influence cardiac surgery.

  3. Although the performance of a comprehensive TEE examination is recommended whenever possible, individual patient characteristics, anatomic variations, pathologic features, or time constraints imposed may limit the ability to perform all aspects of the examination described in this document.

  4. Transoesophageal echocardiography (TOE) is a standard and indispensable technique in clinical practice. The present recommendations rep-resent an update and extension of the recommendations published in 2001 by the Working Group on Echocardiography of the European Society of Cardiology.

  5. The esophageal position of the ultrasonic transducer provides superior cardiac imaging and allows monitoring of the heart before, during, and after cardiac or non-cardiac procedures without interruption.

  6. A transesophageal echocardiogram (TEE) is a type of echo test that uses sound waves to create pictures of your heart. Unlike other types of echo tests, a TEE creates pictures from inside your body. Your provider guides a thin, flexible tube down your esophagus. A TEE can diagnose many problems including blood clots and infections in your heart.

  7. Recent practice guidelines developed by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists 20 provide basic recommendations on the appropriate use of perioperative TEE, with the intent of improving surgical outcomes with evidence-based use of TEE. These specific procedural indications include the use ...

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